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Mark A. Wolgin, MD, Orthopaedic Surgeon

Specialist (Fellowship Trained) in Spinal and Foot/Ankle Surgery, Albany, GA, Office Phone 229-883-4707

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Bunions
 
 
This problem refers to a condition involving the joint at the base of the big toe (also referred to as the great toe) whereby the head of the metatarsal bone and the base of the toe protrude, causing potential pressure against the shoe.
 
 
The reason for the pain is that the pressure is applied by the shoe to a very small area, making that pressure concentrated on that spot.  The situation is like if you had a square peg in a round hole, the pressure would be all at the point of contact.
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Treatment options:
 
Basically, the choices for how to handle this problem are to either change the shoe, or change the foot.
 
With regard to non surgical options, the shoe would need to have some relief at the area of pressure, and even if that relief were given, it still might take several weeks for the inflammation to subside.
 
 
 
 
 
 
 
For surgery, the treatment involves one of many described operations, most of which involve some type of cutting and displacement of the bones.